Individual
LISA CICHEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
15 W 65TH ST, NEW YORK, NY 10023-6601
(212) 787-5400
Mailing address
15 W 65TH ST, NEW YORK, NY 10023-6601
(212) 787-5400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO12483800
NJ
163WS0200X
School Registered Nurse
Primary
540948-1
NY
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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